ML14176A777

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Operational Safety Team Insp Rept 50-261/89-11 on 890710-28. Violations Noted.Major Areas Inspected:Operations,Maint,Qa & Engineering Support Safe Plant Operations
ML14176A777
Person / Time
Site: Robinson 
Issue date: 09/06/1989
From: Bernhard R, Kellog P
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML14176A775 List:
References
TASK-1.A.1.3, TASK-TM 50-261-89-11, GL-82-12, IEB-88-007, IEB-88-074, IEB-88-084, IEB-88-7, IEB-88-74, IEB-88-84, IEB-89-016, IEB-89-16, NUDOCS 8910040163
Download: ML14176A777 (43)


See also: IR 05000261/1989011

Text

p>R

REGU

UNITED STATES

C,V

NUCLEAR REGULATORY COMMISSION

REGION II

101 MARIETTA STREET, N.W.

ATLANTA, GEORGIA 30323

Report No.:

50-261/89-11

Licensee:

Carolina Power and Light Company

P. 0. Box 1551

Raleigh, NC 27602

Docket No.:

50-261

License No.: DPR-23

Facility Name:

H. B. Robinson

Inspection Conducted:

July 10-July 28, 1989

Inspector/

,7

R..

Bernhard, Team Leader

Date Signed

Team Members: R. Schin

R. Gibbs

J. Mathis

C. Rapp

L. Mellen

Approved by-

PW. Kellogg, Chief

Date Signed

7

Operational Programs Section

Operations Branch.

Division of Reactor Safety

SUMMARY

Scope:

This was a special announced Operational Safety Team Inspection (OSTI). The

OSTI evaluated the licensee's current level of performance in the area of plant

operations.

The inspection included an evaluation of the effectiveness of

various plant groups including Operations, Maintenance, Quality Assurance, and

Engineering.in support of safe plant operations. Plant management's awareness

of, involvement in,

and support of safe

safe plant operation were also

evaluated.

The inspection was divided into the major areas of Operations, Engineering, and

Maintenance. The team placed emphasis on interviews of personnel at all levels,

observations of plant activities and meetings,

extensive control

room

observations, and system walkdowns. The inspectors also reviewed plant

deviation reports, LERs for the current SALP evaluation period, and evaluated

the effectiveness of the licensee's root cause identification; short term and

.programatic

corrective actions, and repetitive failure trending and related

corrective actions.

8910040163 890906

PDR

ADOCK 05000261

G

PNU

2

Resul ts:

The

inspection team concluded that Robinson is enhancing current plant

procedures and practices. In the areas examined,

improvements were noted in

many programs, however weaknesses were also discovered. Management is actively

involved in the improvement process at the plant.

Strengths weaknesses,

and enforcement

items noted during the

inspection

included:

Strengths:

Access control to the control room was good.

The practice of rotating operation's watchstations allows personnel to

enhance their knowledge of different areas of the plant..

Contaminated

space in the plant is minimized due to the aggressive

  • radioactive leak control program.

The team noted good equipment appearance and housekeeping in the plant.

LER program improvements since the AEOD report were noted.

The draft temporary modifications procedure,

when implemented,

should

improve the current program.

Good control of the maintenance backlog was noted.

Weaknesses:

Independent verification procedures need improvement.

Inadequate freeze protection was noted for a RWST level instrument and

steam rupture

ESF detectors.

In addition,

the auxiliary operators

interviewed did not have an understanding of the heat trace panel

indications and the modes of failure for the heat trace.

Security badges were noted to be improperly worn.

Annunciator Panel Procedures were noted to have deficiencies.

Temperature

inputs for the reactor calorimetric calculation have the

potential for errors due to-the current calibration practices.

Walkdown

of the Service Water

and Component

Cooling Water Systems

discovered discrepancies.

The plant procedure two year review does not have a time requirement for

incorporation or review of comments generated during.the review.

Weaknesses were noted in the Operations Corrective Action Program.

3

The Design Basis Reconstitution Program had weaknesses in the areas of

verification and validation.

There is a lack of a comprehensive Motor Operated Valve test program.

Enforcement Items:

The Auxilliary. Feedwater

System

was found to have NPSH deficiencies

(Violation).

The plant's program for controlling and documenting application of torque

to fasteners is inadequate (Violation).

Records indicated mechanics failed to follow procedures While performing

work using the reviewed work orders (Violation).

The

CCW Heat Exchanger had maintenance performed without an adequate

safety review (Violation).

The ability of the Closed Cooling Water System to perform its design

function with the current level of tube plugging has not been verified

(Unresolved Item).

REPORT DETAILS

1. Persons Contacted

Licensee Employees

  • R. Barnett,.Maintenance Supervisor, Electrical
  • C. Baucom, Senior Specialist, Regulatory Compliance
  • D. Baur, QA Supervisor
  • S. Clark, Project Engineer, Configuration Control
  • D. Crook, Senior Specialist, Regulatory Compliance

J. Curley, Director, Regulatory Compliance

  • C. Dietz, Manager, Robinson Nuclear Project
  • J. Eaddy, Jr., Environmental and Chemistry Supervisor
  • S. Griggs, Aid, Regulatory Compliance
  • R. Hammond, Environmental and RadiationControl
  • E. Harris, Director, Onsite Nuclear Safety
  • E. Lee, Senior Specialist, Planning and Scheduling

A. McCauley, Principle Engineer, Onsite Nuclear Safety

  • R. Morgan, Plant General Manager
  • D. Nelson, Maintenance Supervisor, Mechanical
  • M. Page, Acting Manager, Technical Support

D. Quick, Manager, Maintenance

D. Sayre, Senior Specialist, Regulatory Compliance

  • E. Shoemaker, Senior Engineer, Operations
  • J. Sheppard, Manager, Operations
  • B. Slone, Document Control Supervisor.
  • R. Smith, Manager, Environmental and Radiation Control
  • R. Steele, Operations Coordinator
  • H. Young, Director, Quality Assurance/Quality Control

Other licensee employees contacted included technicians,

operators,

mechanics, security force members, and office personnel.

NRC Representatives

  • L. Garner, Senior Resident Inspector
  • K. Jury, Resident Inspector,

NRR Representative

  • R. Lo, Project Manager
  • Attended exit interview on July 28, 1989

Acronyms used throughout this report are listed in Appendix C.

0II

2

2. Operations (41400, 41707, 61700, 71707, 93802)

To assess the operational safety of the facility, the team performed

extended observations of the control

room activities, with the unit

operating near 100 percent power. The team conducted system walkdowns and

plant tours, and observed operations rounds. In addition, they interviewed

operators, observed shift turnovers, and reviewed operator logs. The team

also reviewed records used for indication or control of plant status for

adequacy and verified operator awareness of their contents.

The team monitored operator performance, control room decorum, awareness

of plant status, response to alarms, and use of procedures. The team also

reviewed engineering evaluations,

system design,

equipment maintenance,

operating procedures, and operator training as related to questions that

arose from observations in the plant.

a. Control Room Observations

The team observed shift turnovers that were conducted efficiently and

effectively. Individual operator turnovers were accomplished, using

turnover checklists with required signoffs. Then an oncoming shift

.meeting was conducted in the control room by the oncoming Shift

Foreman. This meeting addressed plant status, abnormal conditions,

and planned activities.

Operator control of access to the control room was good.

This was

facilitated by the control room arrangement, with the primary access

door at the opposite side of the control room from the RTGB control

area. The Senior Control Operator's desk was located by the control

room door, which made it easy for him to control access.

The RTGB at the controls area, where the Control Operator was stationed,

was clearly marked by use of a different color carpet.

Shift.manning was clearly posted on a board just outside the control

room. Each watch position was listed, along with the name of the on

shift watchstander. Fire brigade assignments were shown. The number

of watchstanders

and their listed qualifications

satisfied NRC

requirements. The Shift Foreman stated that recent training had been

performed to assure that, using none of the watchstanders who were

assigned fire brigade duties,

the remaining watchstanders could

perform a safe shutdown of the plant from outside of the control room

in an event where the control room had to be evacuated.

Operators

stated that there were sufficient numbers of qualified watchstanders

and that overtime work was rarely required. Almost all of the Auxiliary

Operator watchstanders

on all of the shifts were licensed reactor

operators. The plant practice was for

operators to switch watch

stations daily. The watchstation changes. from. Control Operator, to

Inside Auxiliary Operator, Outside Auxiliary Operator, second Reactor

Operator in the control room, and back to Control Operator.

3

This watchstation rotation practice provides enhanced operator awareness

of plant conditions, improved ability to work together, and leads to

an increased feeling of plant ownership. The team considered this

watchstation rotation as an area of strength for the licensee.

The team reviewed lit

or disabled annunciators in the control room.

The RTGB annunciators were.color coded to assist the operator. Twelve

were colored black, indicating they may normally be lit during plant

operation. Four were yellow, indicating urgent operator action was

required if

they became lit,

such as RCP bearing high temperature.

The remainder of about 470 annunciators were white.

Only six white

annunciators were lit - four indicated potentially abnormal conditions

and two were incorrectly lit

(these had WR. stickers attached for

calibration or repair of the annunciators).

- Four unlit white

annunciators had WR stickers attached for maintenance to be accomplished

on the related equipment. , None of the annunciators indicated an

urgent safety problem.

The Control Operator demonstrated adequate

knowledge of each of these conditions, and in each case had initiated

adequate corrective action.

The licensee had no practi-ce of

intentionally disabling annunciators.

Overall, the team considered

that the total number of lit or disabled annunciators was reasonably

small and well controlled.

The team reviewed control room inoperable equipment.

This included

equipment located in or controlled from the control room.,

For each

of these items, operators had initiated a maintenance WR. Out of the

existing total of about 38 such WRs,

the team selected four of the

older ones for further review.

The team found that two of these

four had long unexplained delays in processing of 9 to 13 months.

One had

been

delayed in maintenance planning (WR/JO 88-ACJCI),

waiting for parts to be ordered.

The other was delayed in Engineering (WR/JO

88-AEKC1 and related

EWR 88-324), apparently waiting to be assigned to an engineer.

The

team discussed unexplained delays in WR processing with maintenance

management,

who stated that use of the existing manual

systems for

tracking EWRs and parts orders was difficult and somewhat ineffective.

They stated that computerization of outstanding EWRs and parts orders

would enable more effective management control and follow-up,

and

would help to eliminate long unexplained delays in repairs to equipment.

Throughout this inspection, the operators displayed a professional

attitude concerning the plant equipment and their responsibilities as

operators. The team reviewed operator logs and records, and found

them to be legible, clear,

and complete,

with only rare minor

exceptions.

The on shift operators appeared to be alert and safely

performing plant manipulations. Operators were attentive to their

panels, and control

room decorum

was good.

The control room

operators maintained an orderly appearance and proper behavior.

.4

b.

Independent Verification of System Alignments

The

team

reviewed the

licensee's

procedure for

independent

verification. A review was completed of OP valve lineup checklists

for safety systems, completed tagouts on safety systems, and the I&C

-Safety Related Instrument Valve Line-Up procedure.

Interviews of

operators by the team on this subject were performed.

The team found that the licensee's procedures for and implementation

of independent verification were generally comprehensive and adequate.

Four items for potential improvement were noted:

1) At least- one of the verifiers should look at the ivalve or

breaker. Procedure PLP-030, Independent Verification, Rev. 1,

allows both verifiers to use the same remote indication to

determine the position of a valve.

This eliminates one last

visual check for operability -

an opportunity to detect such

conditions as

a leaking air actuator,

damaged electrical

connections, missing valve handwheel,

or scaffolding over the

equipment.

2) Both verifiers should be separate and independent from each

other.

PLP-030

does not require both verifiers to perform

separate verifications. However, operators stated that they do

typically perform separate independent verifications.

3)-. A valve that has had maintenance performed on it should have its

position verified before returning it to service.

Neither the

independent verification procedure

nor the tagout procedure

require specifically that this be done.

However,

operators

showed that they do perform and record this function.

4) OP-603, Auxiliary Feedwater System, Rev. 17, in Attachment 9.1,

Valve Checklist, does not require independent verification for

valves V2-20A and V2-20B being open.

These are header section

isolation valves, which if closed would prevent AFW flow to the

A steam generator from the motor driven AFW pumps.

PLP-030

requires the position of these valves to be

independently

verified.

These

four

items

for

potential

improvement in independent

verification are identified as inspector follow-up item 89-11-06:

Independent Verification Procedures Should be Improved.

c.

Freeze Protection for ESF and EOP Instruments

While reviewing

MMM-19,

Safety Related Instrument Valve Line-Up

Procedure,

Rev.

6, the team observed that valves for RWST level

transmitters were not included.

The team then reviewed the OP for

the Safety Injection System to see if

the RWST level transmitter

valves were included in that system lineup checklist.

Five valves

for RWST level instruments were included in that procedure - a root

isolation valve, a drain valve, an isolation valve for each of two

level transmitters,

and

an isolation valve for a local level

indicator. Each had independent verification required.

5

To verify that there were not actually more valves for the RWST level

transmitters for use in calibration, the team reviewed drawing no.

5379-1082,

Safety Injection Flow Diagram,

Rev.

26.

That drawing

showed only the root. isolation valve.

The team then inspected the

installed RWST level transmitter piping arrangement.

The installed

valves were all labeled, and were the ones listed in the OP. Adjacent

to each level transmitter and the local level indicator was a removable

pipe plug, which an I&E technician stated was used for calibration.

An

I&E foreman stated that a modification was planned to install

additional valves to facilitate calibration.

While inspecting the RWST level transmitters; located outside near

the RWST,

the team noted that the pipe from the RWST to the two

transmitters was insulated and supplied with two

types of heat

tracing wires. One type looked like copper tubing with approximately

one-forth inch diameter. This heat tracing was connected through

electrical conduits to a nearby heat tracing distribution panel,

FPP-29. The second type of heat tracing looked like small insulated

electrical wire, with a three pronged plug on one end.

An I&C

technician stated that the 'copper tubing'

was the primary heat

tracing, and was old and somewhat unreliable.

The 'electrical wire'

was the backup heat tracing.

To power the backup heat tracing, an

operator or technician would need to run an extension cord.

Three

other freeze protection devices were on the RWST level instruments:

a heated

box around the first level transmitter and the local

indicator, a heated box around the second level transmitter (which

looked like it

had been more recently installed), and a heat traced

pipe connecting the second level transmitter to the first section of

pipe.

The team asked about how the licensee ensured that the RWST level

transmitter piping did not freeze in the winter,

and subsequently

determined that:

1)

The potential for freezing was a real concern. A Shift Foreman

stated that freezing of the RWST level transmitter piping has

happened before and could be detected in the control room. When

the piping froze, the indicated level in the control room changed.

The Control Operator was required to monitor the RWST level

indicators on the RTGB each shift, and therefore was able to

.detect a change in indicated level. Whenever such freezing was

identified, an operator or technician was promptly dispatched

to heat the affected piping.

2) The design of installed indicators for the freeze protection

circuits was inadequate.

The freeze protection -power supply

panel

FPP-29

had 12 indicating lights and 14 circuits.

The

heating circuit (#12) for one of the RWST level transmitters had

no indicating light on the panel.

6

The related level transmitter box heater had no light at all and

the strip heater on the pipe to the level transmitter had a

separate indicating light that was located so that it

was not

readily visible to an operator.

The heating c.ircuit (#14) for

the other RWST level transmitter had an indicating light on the

panel that came on when the circuit was energized.

But this

light was incorrectly labelled #12.

3) The. procedures for monitoring these freeze protection circuits

were inadequate. The only formal monitoring was a weekly PM to

be- performed by I&C technicians during the months of November

through April. A standing memorandum to the Shift Foreman on

Cold Weather Operations directs the Shift Foreman, when outside

temperature is 32 degrees .F or less, to contact I&C to assure

that all freeze protection panels are in service and operating

as necessary. The Auxiliary Operator daily rounds sheets did

not include a required check of any freeze protection. The team

concluded that a weekly check is not frequent enough to ensure

operability,

because the

RWST level

transmitters serve an

important emergency shutdown function. They provide RWST level

indication and low level alarms in the control room that tell

the operators when to switch to recirculation mode of core

cooling. Emergency Operating Procedure Path 1, Rev.

6, dated

January 6, 1989, relies entirely on RWST level indication for

directing the operator to switch to recirculation mode,

where'

pump suctions are taken from the containment sump instead of the

RWST. Failure of the operator to switch to recirculation before

the RWST emptied would result in a loss of NPSH to the safety

injection pumps,

RHR pumps,

and containment spray pumps.

This

in turn could cause all of these pumps to burn up.

The licensee's

TS

do

not address the emergency

shutdown

importance of the

RWST level

transmitters.

In many other

plants, the RWST level transmitters are ESF instruments which

provide an automatic switchover to recirculation. As such, they

are addressed in the related TS with LCO action statements that

include requirements for prompt shutdown of the plant if less

than a minimum number of channels are operable.

The team verified that the two RWST level transmitters are,

powered from different safety related power sources,

one from

instrument bus two and the other from instrument bus three.

4) Operator knowledge of this freeze protection was inadequate.

Two licensed reactor operators who had stood Auxiliary Operator

watches during the last winter stated that they would informally

check freeze protection panels in cold weather.

But both were

not aware that indicating lights on FPP-29 did not include the

freeze protection circuit for at least one RWST

level

transmitter.

7

They thought that, if all indicating lights on FPP-29 were lit,

then all freeze protection circuits powered from that panel were

operating properly.

The I&C weekly

PM contains instructions that

indicate that a lit

bulb does not necessarily mean

an operable

freeze protection circuit, as follows:

normal glow -

circuit okay

bright glow -

circuit shorted

weak glow - circuit'grounded

bulb not burning -

open circuit

Also,

the operators both stated that there were a total of seven

freeze protection panels in the plant.

The

I&C weekly

PM lists

ten freeze protection panels.

The team asked if

any instruments providing an

ESF signal were

subject to freezing.

A Shift Foreman

stated that steam

header

pressure transmitters,

which provide an automatic ESF signal, are

located outside. They are subject to freezing and have heat tracing

freeze protection.

This freeze protection has

no alarm and is

officially checked only weekly during winter months by I&C technicians

per the freeze protection weekly PM.

The team concluded that a weekly

check of this freeze protection was not frequent enough to ensure

operability. The ESF function is to automatically initiate safety

injection and containment isolation in the event of a steam line break.

This would be sensed by two of three channels of high differential

pressure between any steam generator and the steam header.

The TS

requires that a minimum of two channels be operable,

and with less

than that operable requires that the plant be shut down within eight

hours. A weekly check of freeze protection during cold weather is not

adequate to ensure operability of this ESF function.

Freeze protection of instruments required for emergency shutdown of

the plant is considered an area of weakness. This will be identified

as inspector follow-up item 89-11-07: Freeze Protection Measures for

RWST and Steam Rupture ESF Detectors are Inadequate.

d. Control of Overtime

The team reviewed procedures for the control of overtime, audited

records of work hours for some operators and maintenance technicians,

and interviewed operators about overtime.

The team found that the licensee's policy on overtime, as described

in OMM-01, Operations - Conduct of Operations,

Rev.

22,

and also in

TS 6.2.3,

is substantially

less

comprehensive

than

NRC

recommendations described in Generic Letter 82-12,

which revised

NUREG 0737.

Differences include:

8

The licensee's policy places overtime limits on only Shift

Foremen, Senior Control Operators, Control Operators,

and Shift

Engineers. GL82-12 requires that overtime limits apply to all

plant staff who perform safety-related functions (e.g.,

senior

reactor operators,

reactor

operators,

health physicists,

auxiliary operators, and key maintenance personnel).

2) The licensee's policy applies overtime limits only when the

Reactor Coolant System is greater than 200 degrees or when fuel

is being moved within .the

Reactor Pressure Vessel.

GL82-12

requires overtime limits at all times.

3) The, licensee's policy applies different limits on working hours

than those required by GL82-12.

4)

Additional differences exist in wording of overtime rules.

The history of this item includes:

1) In 1980,

NRC requirements on limiting overtime were issued as

NUREG 0737 Item I.A.1.3.

2)

On February 26, 1981, the licensee submitted to the NRC a policy

on staff working hours to comply with Item I.A.1.3.

3)

On November 15,

1981,

the NRC approved the licensee's overtime

policy.

4)

On June 15,

1982,

the NRC issued Generic Letter 82-12, which

revised Item I.A.1.3.

of NUREG

0737.

In GL82-12,

the

NRC

requirements on overtime policy were substantially changed.

5)

On December 23,

1982,

the licensee responded to GL82-12.

In

that response, the licensee incorrectly stated that the existing

licensee policy on overtime limits was consistent with the

intent of NRC policy as stated in GL82-12.

6)

In December 1983,

EG&G Idaho prepared a report for the NRC on

the status of the licensee's compliance with NUREG 0737 items..

In that report, the licensee's noncompliance with Item I.A.1.3.

was identified, in that the licensee's TS had not been revised

to include overtime limits and that the licensee's policy on

overtime did not comply with NRC requirements as promulgated in

GL82-12.

7)

On

May

15,

1985,

the licensee requested a TS revision to

incorporate the overtime policy that was based on the original

1980 NUREG 0737 requirements.

9.

8)

On

September

12,

1985,

the

NRC approved the licensee's TS

revision.

This was based on the 1981

NRC approval of the

licensee's overtime policy.

A team audit of recent records of work hours for a few operators and

maintenance technicians did not reveal use of excessive overtime. In

interviews, operators stated that in past years heavy use of overtime,

especially during outages, had occurred. They also stated that more

recently, substantial reductions in overtime had been made.

They

stated further that even during the last outage, relatively little

overtime for operators or maintenance personnel

had

been used.

Recent management initiatives to reduce overtime appear to have been

effective. However,

as these are informal controls,

the potential

for exceeding the recommendations of Generic Letter 88-12 in the

future exists.

e. Observation of Daily Rounds

An inspector conducted observation of daily rounds for the purpose of

identifying procedural or personnel weaknesses.

No such weaknesses

were noted, however, the following .items were observed:

1)-

Deficiency Tags

A large number of outstanding equipment deficiency tags existed.

These tags.were in areas that are uncontaminated and readily

accessible.

Five deficiency tags were noted to be greater than

one year old of which three were on safety-related equipment.

Discussions.with Operations personal indicated a lack of support

by Mechanical Maintenance as the reason for the number of

outstanding deficiencies.

2) Contamination Control

A lack of contaminated waste trash cans was noted.

When an

operator changed the filter paper on

an air monitor,

the

operator had to walk a considerable distance to properly dispose

of the filter paper. This increased the chance of.dropping the

filter paper and contaminating the area.

More conveniently

located cans,

or small plastic bags to carry the contaminated

paper in could reduce the chance of contamination.

3) Security Badges

The inspector noted security badges were routinely worn below

the waist or were covered by pocket dosimeters

or pens.

Security badges are required to be worn between the shoulders

and waist and not covered. These infractions went unnoticed by

security personnel until informed by the inspector.

10

4)

Industrial Safety

The inspector observed welding and electrical cables passing

through door ways were unprotected.

This allowed the door to

close and pinch these cables causing damage that could lead to

personnel injury. Guard blocks should be placed around cables

passing through doorways to prevent such damage.

Also, the

landing at the entrance to the Spent Fuel Pool was too narrow

and the door opened completely into the stairway.

5) Operator Access to Spaces and Equipment

The team observed that operator access to spaces and equipment

was good. Auxiliary Operators carry keys for emergency access

into locked high radiation areas and through failed security

doors. In addition, the operators carry flashlights and many

ladders are located throughout the plant, in designated storage

racks. A book of system drawings, which were clear and legible,

was available for use by the Auxiliary Operators.

6) Radioactive Leak Control

The plant has a very small amount of contaminated floor area,

less than 1000 square feet, which enhances operator access to

equipment rooms.

A- good program of radioactive leak control

contributes to the small amount of contaminated area. The team

noted that there were very few valves with leaks of radioactive

liquid. Also, the primary coolant leak rate was very low, less

that 0.04 gpm.

7)

Loose Equipment

The team observed loose equipment carts stored near important

plant equipment. A spare breaker on wheels was located in the

4160 volt switchgear room adjacent to breakers 12 and 13, which

supply normal offsite power to vital 480 volt busses E-1 and

E-2.

Other loose carts were in the 4160/480 volt switchgear

room and elsewhere in the plant, near nonsafety equipment.

A

better storage practice for this equipment would be to have it

tied down or otherwise prevented from moving.

8)

Housekeeping

The team observed housekeeping in general to be good. Rooms and

equipment were clean and well painted. Virtually no loose trash

or tools were seen in the plant.

Ladders were stored in

designated racks.

The plant overall appeared clean and orderly.

4.

11

f. Annunciators Panel Procedures (APPs)

The

APPs listed in Appendix D were reviewed for accuracy and

useability. The APPs are kept at the control panel and are readily

accessible by the operators.

However,

the team found these APPs to

contain inconsistent guidance, insufficient description of causes,

incomplete description of actions, did not require verification of

automatic actions, did not differentiate between local and control

room indications or controls, and referenced setpoints not related to

control room instrumentation scales. Examples of these deficiencies

are given in Appendix E. The inspectoralso noted the RCS Pressure

recorder Wide Range scale did not match the chart paper scale.

The

recorder is incorrectly scaled at 0 -

100 while the chart paper is

correctly scaled at 0 -

3000 psig.

Control

room operators. were

unaware of any reason for this difference. The operators also stated

only the chart paper scale is used for determining

RCS pressure.

This recorder is referenced in the Emergency Operating Procedures to

determine Wide Range RCS pressure trend.

The recorder scale should

be changed to match the chart paper scale.

These observations will

be tracked as Inspector Follow-up Item 89-11-08: Annunciator Panel

Procedure Weaknesses.

g.

Instrument Calibration

The

instrument calibration program was reviewed to identify any

weaknesses. Discussions with Instrumentation and Calibration (I&C)

personnel indicates a routine calibration schedule for all instruments

designated as "required."

When asked the criteria for designating

an instrument as required, the team was told if the instrument is

important, i.e. ESF or Technical Specification (TS)

related, it

is

designated as required.

Non-ESF or TS related instruments could

also be designated as required.

No definitive criteria was found

by the team.

Calibration

sheets are retained for

TS

related

instruments only and not all required instruments.

When the team asked how Operations is informed of which instruments

require calibration, the inspector was told Operations is not informed

until the calibration is to be conducted.

Additionally, Operations

is not informed of calibration results and is not required to signoff

after the calibration has been completed.

Calibration for control

room instrumentation is scheduled during refueling only. One exception

to routine calibration was found.

The feedwater temperature computer

points, used by Operations for calorimetric calculations, are calibrated

by engineering staff assigned to the plant computer.

I&C is only

involved in the installation and initial calibration of the RTDs.

The

RTDs are calibrated using a generic calibration curve; not a calibration

curve specific to the installed RTDs.

12

The computer points are not routinely calibrated and are checked only

when Operations observes a difference in readings. When a calibration

is conducted, only the computer points are calibrated, and not the

entire loop including the RTDs.

Calibration of the computer points

only could cause a falsely low temperature value to be used in the

calorimetric-calculation. This could result in reactor power being

unknowingly increased to greater than 100 percent by the operators.

This item will be tracked as Inspector Follow-up Item 89-11-09:

Weakness in Loop Calibration of Feedwater RTD Used in Calorimetric.

h. Service Water System Operations Walkdown

During the Service Water System walkdown with operations the team

observed a number of equipment, procedure and training deficiencies.

The team identified these deficiencies to the.licensee for corrective

actions. The deficiencies are summarized below and are discussed in

detail in Appendix B.

In the Service Water

System walkdown,

the team *used Operations

Procedure OP-903,

Service Water

System,

Revision 27

and system

drawing G-190199, Revision 29. There were four cases noted where the

drawing was inconsistent with the as-built configuration. There were

21 label plates missing from valves.

A rubber hose was connected

downstream of valve SW-219, which supplies water to a lubricating oil

separator. There was no caution tag or information tag present.

These Items will be tracked as part of Inspector Follow-up Item

89-11-10: Deficiencies Noted in Service Water and Component Cooling

Water Walkdown.

i.

Temporary Changes to Procedures

The

NRC

team

reviewed

the

temporary

change

request

program.

Administrative procedure AP-004, Development, Review, and Approval of

Procedures, Revisions, and Temporary Changes, Revision 28 dated June

8, 1989,

provides guidelines used for initiating temporary changes.

Temporary changes may be implemented for items that do not change the

intent of the procedure.

A temporary change must be deleted or reviewed for permanent revision

by the responsible manager within 21 days from the date the temporary

change was approved. All temporary changes are assigned a control

number and tracked by a temporary change log. The team reviewed the

temporary change log to assure that changes were reviewed in a timely

manner. Few changes were outside the 21-day limit. The coordinator

uses the change log as a reminder to contact responsible personnel

prior to the 21-day temporary change expiration date. One weakness

identified by the team was that many temporary changes had been

implemented prior to a safety evaluation being performed.

The team

observed a low backlog of temporary procedures existed.

PLP-026 provides a plant-wide methodology

for reporting and

investigating significant off-normal conditions.

The Director of

Regulatory Compliance is responsible for developing and maintaining

a data base for tracking and trending significant off-normal conditions.

13

This is discussed further in section 3.a.2.

j.

Periodic Procedure Review

The team reviewed the licensee program for performing a two year

review for operations procedures.

The program is addressed in

procedure AP-004. Each procedure in the Plant Operating Manual (POM)

is reviewed periodically by a person assigned by the approver or his

designee.

The team verified that the licensee has conducted two

year reviews for operating procedures from 1985 to 1989.

Weaknesses identified are following:

-For

those comments

made during two year reviews,

timely

implementation of comments were not performed. Several comments

for 1987 were generated again during 1989 reviews.

AP-004 does

not require a time limit for comment review and incorporation.

This is identified as Inspector Follow-up Item 89-11-11: Lack of

a Time Limit for Incorporation or Evaluation of Comments Made in

Plant Procedure Two Year Review.

-The guidelines used by the reviewer were weak for both the

administrative and technical reviews.

k.

Operations Corrective Action Program

The NRC Team observed the functioning of the licensee's program for

the evaluation of abnormal operating events. This was reviewed to

assess its efficiency in increasing equipment availability through

correct identification of root cause and by initiating the appropriate

corrective action. *OMM-027,

Revision 2, dated June

14,

1989,

establishes guidelines for Operations Corrective Action Program. The

program provides criteria to identify, document, and evaluate off-normal

conditions,

both

significant

and

non-significant.

Off-normal

condition refers to an adverse condition in any category that should

be

corrected,

including

failures, malfunctions, deficiencies,

deviation defective material and equipment,

and non-conformances.

Off-normal

conditions that are classified as significant are

upgraded to the plant program, PLP-026, Corrective Action Program.

PLP-026 provides a plant-wide methodology for reporting and

investigating significant off-normal conditions.

The Director of

Regulatory Compliance is responsible for developing and maintaining

a data base for tracking and trending significant off-normal conditions.

This is discussed further in section 3.a.2.

The team reviewed the operations corrective action tracking system

and off normal condition analysis reports from August 18,

1988 to

July 24, 1989. The following weaknesses were identified:

14

-Closeout of operations corrective actions werenot performed in

a timely manner. Only 13 out of 82 had been completed during the

time period reviewed-.

-Many off normal conditions analysis reports did not.contain a

root-cause analysis.

In some cases this resulted in repeat

events.

-Trending of non-significant off. normal

conditions needs

improvement to prevent repeat events.

The Operations Corrective Action program as outlined in OMM-027,

Revision 2, dated June 14, 1989, requires that off-normal conditions

analysis in the trending program

be periodically evaluated to

determine if any adverse trends exist. The team review revealed that

this was

not being. performed.

This is identified as Inspector

Follow-up Item 89-11-12: Weakness in Operations Corrective Action

Program.

1. 'Operator Aids

The team reviewed the operator aid program to assure authorization,.

documentation and, periodic reviews were performed.

The operations

engineer- is responsible for authorizing the posting and removal of

operator aids. The controlling procedure for operator aids, OMM-016,

Control of Operator Aids, Revision 2, dated March 29, 1988, provides

guidance for using operator aids. -The Operations Engineer performs a

review of the operator aid log index monthly for correctness, and to

verify a continued need for each posted operator aid.

Quarterly the Operation Engineer reviews the operator aid log to

verify that all logged aids exist, ensures there are no. unapproved

pen and ink changes, checks for legibility, and tours the plant to

identify and remove unauthorized OA's.

The team reviewed the OAL from 1985 to 1989 for periodic -review

compliance. There were five cases where operator aids.had been in

effect for longer than two quarters.

The responsible supervisor had

been notified as to the need to incorporate the aid into a permanent

procedure.

The following operator aids were reviewed by the team:

89-01

-Provide guidance for determination of reporting

requirement and notification.

89-03

-Provide instructions for installation of mechanical

level device.

89-04

-Provide instructions for sampling containment vessel

with cart monitors.

15

The reviewed operator aids appeared to be effective tools for providing

additional guidance to the operators. No discrepancies were noted in the

program.

3.

Engineering (37700, 37701, 37702, 92703)

a. Licensee Event Reports

The team reviewed the Licensee's event/failure trending program and

potential .reportable

events/LERs

from January

1, 1988,

to

July 1, 1989, and evaluated-the adequacy of the following:

1) Trending of Similar Events/Failures.

The licensee has no formal trending program that specifically

tracks events/failures which lead

to

LERs.

However, the

licensee has an informal tracking and trending method which

adequately complies with NUREG

1022,

section V, paragraph B,

which addresses the review of Previous Similar Events. The team

discussed this informal method with the members of the

Regulatory Compliance staff who routinely prepare the LERs. The

team concluded that while the program is not formalized, the

program is effective in identifying previous events

and

initiating programatic corrective actions, .when

appropriate.

Additionally, the team reviewed a selected sample of recent LERs

and concluded that the identification of similar events,

although not formal, was adequate.

2) Corrective Actions.

The team reviewed procedure PLP-026, Corrective Action Program,

Revision 2, June 30,

1989,

which addresses the corrective

actions program

including both short-term and programatic

aspects.

The review, in part,

consisted of a review of

screening

criteria,

corrective

action

methodology,

and

organizational involvement. The team discussed the methodology

for determining corrective actions with

the

licensee's

Regulatory Compliance staff.

Additionally, the team reviewed

the corrective actions for a selected sample of recently

completed

LERs

for special

training, required reading,

procedural revisions, program upgrades,

increased surveillance

frequencies, increased preventative maintenance, and human

factor improvements.

The team concluded that in the selected sample of LERs reviewed

the licensee had generally considered the appropriate factors

when determining the scope of corrective actions.

SII

16

3) Root Cause.

The team reviewed procedure PLP-026, Corrective Action Program,

Draft Revision 3, which at the time of this inspection had not

been issued. The team discussed the proposed procedure revision

with the Regulatory Compliance staff.

The-se discussions were

primarily focused on the licensee's self initiated root cause

determination methodology improvements.

The draft procedure

contains an attachment 7.6, Investigation Team Guidance For The

Investigation Process.

This attachment addresses use of an

independent investigation group to determine the root cause of

an event or condition which has been designated as significant,

and was of such a nature that it exceeds the ability of a single

individual

to

resolve.

The

basic. methodology of

this

investigation team was to ensure that evidence required for a

thorough investigation of the event is preserved and has been

gathered as soon as practical after the event.

Additionally,

the procedure provides several possible methods for root cause

analysis. Although this program has not been implemented, the

procedure demonstrates a well conceived, licensee initiated

program

and should provide useful root cause determination

results for complex events. The inspection team concluded the

weaknesses in the current program were adequately addressed in

the revised program. When the revision is issued the program

should be adequate to effectively determine root cause.

4)

1989 LERs

At the time of this inspection the licensee had issued 9 LERs: 89-001,

Hydrogen introduction into station air 89-002

RTD thermowell failure 89-003

Contractor exceeded dose limits89-004

SI actuation 89-005

Inadvertent closure of MSIV 89-006

Loss of EH control power 89-007

OPDT setpoint 89-008

RHR common mode failure 89-009

Relative humidity >70 percent with CV purge

LER 89-04 and 89-07 had previous similar occurrences. The LERs

were of the type that had a more thorough root cause analysis or

corrective action determination been performed on the referenced

events the events that resulted in these LERs might not have

taken place.

The licensee has made some improvement in these

determinations in recent months,

and has proposed some changes

in the methodology for root cause determination.

These changes and recent improvements should reduce the number of

similar events in the future.

17

5)

Event Response Team.

The licensee does not have a formal event response team that

determines root causes for complex events.

However, the

licensee has a pending- procedural revision that provides the

charter and direction for the formation of this team.

This is

discussed in paragraph 3) of this section.

6) Adequacy and Threshold of LERs.

The team reviewed the licensee's LER Handbook, dated June 15,

1988, which was created to provide guidance to the writers and

reviewers of LERs.

The handbook follows the latest guidance

from NUMARK and NUREG 1022, supplement 2, for the preparation of

LERs,

and delineates the threshold, for reportability of LERs.

Additionally, the handbook provides a historical review of the

AEOD identified LER problems at HBR, detailed information about

the required entry for each block of the LERs report form, and

which items/events require

LERs.

Information

regarding the

immediate notification of

NRC,

four hour notification,

and

thirty day notification is provided.

For the sample of recent

LERs reviewed, the handbook was followed by the LER preparers.

The threshold for reportability and information contained within

LERs

has improved significantly since the AEOD report was

issued, and during the time period of the selected LER review.

The LER reports reviewed appear adequate.

Additionally, the

handbook for LER preparation is clear, unambiguous, and contains

all the pertinent information the LER preparer should need to

prepare an adequate LER.

b. Information Notices

The team reviewed a selected sample of recently completed Information

Notices to determine the licensee's review process,

commitment

tracking,

and the adequacy of the internal communications.

The

specific Information Notices reviewed were: 88-814

Defective Shaft Keys In Limitorque Motor

Actuators

88-74

Potential Inadequate performance of ECCS in PWRs

During Recirculation Operation Following a LOCA

88-07

Failure of Air-operated Valves Affecting Safety

Related Systems

89-16

Excessive Voltage Drop in DC Systems

On-site Nuclear Safety procedure, ONSI-1, Operating Experience

Feedback, Revision 5, dated January 5,

1987,

was established to

delineate

the

responsibilities

for

assuring

that operating

information pertinent to plant nuclear safety is. supplied to the

operating and training organizations.

18

This program and the program of the Nuclear Safety Review Unit were

established to meet the requirements of NRC

Task Action Plan,

Item 1.C.5. The specific documents that are screened by ONSI-1 are:

1) Operating Experience Reports for site events

2) NSSS/Vendor Service Bulletins

3) .

Documents from ONS or the NSR Unit that are designated as

warranting Operating Experience Feedback.

4) INPO Significant Operating Experience Reports and Significant

Event Reports.

,5) NRC I. E. Notices

6) Other industry sources deemed appropriate by the Director -

ONS

.

The Operating Experience Feedback path for Information Notices was

reviewed. The Information Notices received an initial screening by

On-site Nuclear Safety document coordinator and were dispositioned to

other groups, as applicable. Where it was clear that the item was

not applicable to HBR or was an item that could be easily dispositioned,

the item was closed by On-site Nuclear Safety and the package was

routed for information purposes only to applicable supervision in

other areas.

When further investigation or study was needed,

the

Information Notice was assigned to a responsible engineer, forwarded

from On-site Nuclear Safety to responsible groups for final disposition,

and a formal tracking number,was assigned..

The tracking number is in

the commitment data base and appears to receive adequate management

attention.

The package is returned to the responsible engineer

assigned by On-site Nuclear Safety when the work has been completed

or other appropriate actions have taken-place. The completed package

is reviewed by the responsible engineer and returned to the designated

organizations if the actions are inappropriate. If the package has

been satisfactorily completed, a copy of each evaluation is maintained

by the NSR Unit, and the original of the closed packaged is forwarded

to the 'record storage group for inclusion in permanent plant records.

The team discussed this process with members of the ONS staff, and

reviewed the applicable procedures and the selected packages.

In

general, the disposition of this sample of Information Notices

appears adequate.

The level of documentation

and the tracking

methods are adequate to provide reliable and retrievable records of

the licensee's disposition of Information Notices.

C.

Design Basis Reconstitution

The team reviewed the licensee's self initiated Design Basis

Reconstitution Project. The licensee's definition of the objective

of this program is to structure the current design basis and

calculations/analyses of record, applicable to the plant systems

required for safe shutdown and mitigation,

and control them for

future use.

The critical design parameters, related to the plant

procedures and .hardware,

will be validated against the structure

design basis.

19

The systems that were in the pilot program were AFW,

SIS and RPS.

These systems have been completed, however,

the validation process

has not been completed for the RPS.

Additionally, the Electrical

Power Distribution System and the -Electrical Cable/Raceway DBD have

been completed,

but the validation process was not complete.

The

other systems to be included in the DBD are Component Cooling Water

System,

HVAC System, Service Water System, Nuclear Instrumentation

System,

Residual Heat Removal System,

Emergency Diesel Generators,

Incore Instrumentation System, Chemical and Volume Control,

Reactor

Coolant System,

and Reactor Vessel

Level

Instrumentation System.

Only the post accident response portions of HVAC will be included in

the HVAC DBD. The scheduled completion of this program is 1992.

The system's design basis, as defined by CP&L, is abstract in nature

and consists of:

1) System functional Requirements

2)

Regulatory Requirements/commitments relative to system design

3) Original design codes or standards of record, unless clearly

superseded by a regulatory commitment to a later code or

sta-ndard.

The program appears to be primarily for the use of design engineers.

Within the limits of the program, the licensee appears to be expending

sufficient resources to accomplish the Design Basis Reconstitution.

Based on discussions with the design engineers and a review of the

proposed program, the weaknesses in the program are that there is

limited field verification in the validation phase and no apparent

attempt to validate critical system parameters,

such as flow,

temperature,

and pressure.

An additional weakness in the program

is the extended time after a discrepancy is discovered that a

documented operability review is completed. In most cases reviewed,

the operability review was made several months after the discrepancy

was discovered.

This untimely review can lead to a system being

inoperable for an extended period of time without the licensee being

aware of this condition. This is identified as Inspector follow-up

item 89-11-13: Timeliness

of Operability

Reviews

of Problems

Discovered in Design Basis.

The team requested the licensee to verify a single system parameter,

as a demonstration

that design parameter verification was

not

necessary.

The parameter selected was

Condensate

Storage Tank

temperature effects on Auxiliary Feedwater Pump Net Positive Suction

Head.(NPSH) requirements.

After an initial engineering evaluation it

appeared that there may

be insufficient NPSH for the Steam Driven Auxiliary Feedwater Pump,

if the CST is at minimum level.

Subsequent to the onsite inspection,

NPSH concerns led to a plant shutdown on August 22, 1989. Additional

details of the NRC

review and disposition of this issue will be

documented in Inspection Report 50-261/89-18. This issue is identified

as apparent violation 89-11-01.:

AFW System Inoperability Due to

Inadequate NPSH.-

20

The licensee is continuing the investigation of this finding and is

considering changes in the DBD program. This identified as Inspector

Follow-up item 89-11-15: Validation of Critical Design Parameters in

DBD.

d.

UFSAR Discrepancies

During a review of unrelated subjects, the team noted UFSAR Table

2.3.2-2 entry for July minimum

temperature was in error.

This

appears to be a typographical

error.

The discrepancy will be

evaluated by the licensee for revision to the UFSAR in Amendment 8

and will be tracked as SAR change request A8-095. The team reviewed

the

change

request and proposed corrective actions.

The team

determined that there is no safety significance for this errant

entry, as it provides no input to any of the analyzed accidents, nor

to any critical component design. With the issuance of A8-095, this

item is considered closed.

e. Design Change Packages

The team reviewed two recently completed safety-related Design Change

Packages to determine the adequacy of 10CFR50.59 Evaluations. - The

documentation,. work completion,

functional testing, revisions to

affected procedures and drawings, timeliness of completion, and QA/QC

were reviewed.

The packages were-generally complete.

The safety

evaluations did not reference all of the pertinent information for a

complete evaluation, however, the information was contained in the

package. The post modification testing ,specified and performed was

adequate. Portions of the 'packages could not be reviewed due to the

poor quality of the micro film copy.

Generally the packages

indicated that a little more attention to detail in filling out the

required paperwork would be appropriate, but the packages appeared to

adequately accomplish the intended task.

f. Temporary Modifications

The team reviewed two temporary modifications to determine their

adequacy.

The first temporary modification reviewed was installed as corrective

actions for a finding in the DBD effort.

Temporary Modification 89-709, RHR Sump Level Indication, Revision 1, dated April 13, 1989,

was installed as a result of an SSFI of the Safety Injection System

DBD.

It revealed that during a LOCA, with a 1 percent fuel failure and a

loss of off-site power, if the RHR pump seal should fail, the control

room operator might not have indication that the RHR pit sump was

filling up.

21

The final conclusion was that any accident that was accompanied with

loss of off-site power would cause the sump pumps, and the. level

indication to fail.

The sump pumps and high level alarms would not

function on loss of off-site power,

since they do not have a

safety-related power source. This temporary modification installed

redundant mechanical level indication that will provide interim level

indication outside the RHR pit until a perman.t solution is implemented.

The temporary modification was installed and was scheduled to remain

in effect until the the next refueling outage.

Since temporary

modifications are generally allowed for only a three month period

without a further evaluation, a request for extension was requested.

The modification extension was granted via memorandum on April 13,

1989,

Serial

number 'RNPD/89-1373.

This extension was handled in

accordance with applicable procedures.

The

licensee performed an engineering calculation, 89-04, to

determine the expected off-site dose based on the modification to the

RHR pit and the accumulation of post-accident reactor coolant. There

was a slight increase in the off-site calculated dose,

however, the

licensee judged that this was not a significant increase. Due to the

low probability of.the RWST pipe breaking during the injection phase,

the licensee and NRR agreed that prior to the next refueling outage

the RWST pipe break need not be considered, and hence the source term

for accumulated reactor coolant was not considered for this period

for entry into the RHR pit. The calculation did not account for the

  • dose

to the operator that must perform post-accident

manual

manipulation of the cross-connect valve in the RHR pit.

This was

contained in engineering calculation 89-05, with -the agreed upon

exclusion of the accumulation source term. The licensee will provide

motorized, class 1E operators for the cross-connect valves and will

provide safety-related, class 1E sump pumps in each-of the RHR pits.

The interim level indication installation and the existing level

instrumentation are

not seismic.

Since the level

indication

installed was non-seismic, no -credit can be taken for it's

availability post-accident. However, the licensee has demonstrated

that either channel of the independent* level instrumentation,

if

available, can be installed in a timely fashion.

The licensee performed

the required

10CFR50.59

analysis.

The

analysis concluded that this was not an unreviewed safety question,

based in part on their agreement with

NRR,

that based upon

Probabilistic Risk Assessment data, the circumstances that would lead

to this situation prior to the next refueling outage were highly

unlikely.

22

The second temporary modification reviewed, TEM 89-704, Isolation of

PPS to Sleeves S-24,

S-26,

and S-30, Revision 0, dated February 8,

1989,

isolated the Penetration

Pressurization System to

the

containment penetration bellows assemblies S-24,

S-26,

and S-30.

These bellows are located on the 3 inch steam generator blowdown

lines.

The Penetration Pressurization System's function is to

provide early indication of primary containment penetration leakage.

The team reviewed the 10CFR50.59 analysis for this modification.

While this modification clearly changed equipment and procedures

referenced in the UFSAR,

it does not change the Chapter 15 analyzed

accidents. The isolation of the three leaking penetrations allows

the Penetration Pressurization System to continue to provide it's

intended function for the balance of the penetrations..

g. Temporary Modification Program

The team reviewed the temporary modifications program by selecting a

sample of temporary modifications that were installed during the last

two years and a sample of currently installed temporary modifications.

A list of the temporary modifications examined for the program

review, along with the team's comments are:

Number

Date

Description

Note(s)88-001

2/2/88

SW HVH Piping

2 88-003

6/9/88

Main Steam Piping

2 88-004

6/21/88

FCV-1332C Leak 88-005

7/25/88

Condensate Polisher

1,2 88-006

7/26/88

MS-128 Down Stream Piping 2 88-007

7/28/88

LCV-1508A Flange

.

2 88-010

8/30/88

AFW PI-1425

2 88-700

9/14/88

Belzona Repairs of SW 88-701

.10/12/88 Extraction Steam 88-703

1/3/89

SW Temporary Repair

1 88-704

11/24/88

Fuel Handling System

3 88-705

1/21/89

Thermocouples for HVH-4

1,4 88-706

12/23/88 Pipe Cap On RWST Drain

1,4.89-700

1/13/89

RTD for CV Monitoring

1,4 89-701

1/24/89

FT-113 Leak 89-702

1/30/89 *

CVC 1116 Substation

1,4 89-703

-

2/8/89 .

A and B Leakoff Lines

4,4 89-704

2/8/89

-Isolate PPS Sleeves

1,4 89-705

2/25/89

Steam Turbine

1,4

0II

23

note 1 -

This item is currently installed as a temporary

modification.

note 2 -

The team reviewed Modification and Design Control

Procedure MOD-018,

Temporary Modifications, revision

2, dated December 20,

1988.

Paragraph

5.9,

Extensions, states "If it is desired to extend the TM

beyond the three (3) months time limit, a revision

must be written in accordance with Paragraph

5.8.

All reviews performed on the original TM must be

reperformed to verify the continued need for the TM.

Extension must

be approved prior to expiration of

original TM... If it is known that a TM must remain

installed for an extended period of time, the Plant

General manager may grant a waiver to the

TM three

month

time limit."

These are examples where this

procedure was not followed.

note 3 -

All documentation for this package was lost.

Modification and Design Control

Procedure MOD-018,

Temporary. Modifications,

Revision

2, dated

December 20,

1988.

Paragraph 5.10,

Dis'position of

Records, delineates the records that should have been

sent to the vault for retention as a permanent record.

None of the required records were retained.

note 4 -

Waiver from the three month installation limit was

issued.

For the

majority

of

1989

temporary

modifications, the modifications were issued an

extension.

It is apparent that most

temporary

modifications, as used at HBR, generally are installed,

at least until the next refueling outage.. The

10CFR50.59 evaluations, if performed, do not generally

address the actual period of time the Temporary

Modification is actually installed.

The team reviewed a number of recent QA Nonconformance Reports that

addressed Temporary Modifications, 88/40, 88/41, 88/42,

and 89/002.

These

documents

identified a number

of

discrepancies

and.

nonconformances in the Temporary Modification implementation.

The

licensee has a self initiated improvement program that specifically

addressed these items and the Temporary Modification program in

general.

The team reviewed the draft of Modification and Design

Control Procedure, MOD-018, Temporary Modifications, Draft Revision

4, and MOD-013, Safety Analysis and Review, Draft Revision 5. The

team discussed these procedures and the proposed philosophy changes

that these procedures represent with the responsible engineer and

appropriate levels of management.

The team determined that the

changes in the procedures indicated that the licensee has proposed

significant improvements in the program will address both the teams

concerns and the balance of the unanswered QA nonconformances.

24

The magnitude of these changes warrant further inspection after the

procedures have been implemented. This is identified as inspector

follow-up item 89-11-14: Review Implementation of MOD-18, Revision 4

and MOD-13, Revision 5 in Temporary Modification Program.

i. Engineering Surveillance Testing

The team reviewed a selected sample of Engineering Surveillance-Tests

to determine the compliance with Technical Specification Schedules,

Licensee commitments,

and all applicable codes and standards.

The

test were accomplished in accordance with applicable -procedures,

which were based upon appropriate standards.

The team did not note

any discrepancies in the sample reviewed.

j. QA/QC

The team reviewed a selected sample of QA/QC audits in the areas of

maintenance,

operations,

and modifications.

The specific packages

reviewed were: 89-007,

Technical Specification Surveillance Program,

dated January

18, 1989.89-032, Maintenance Work Requests, dated May 1, 1989.89-003, Modifications, dated January 16,1989.88-088, Maintenance Work Requests, dated October 17, 1988.88-073, Performance of MST's, dated September 13, 1988.88-044, Maintenance and Operational

Surveillance Tests, dated

June 2, 1988.89-044, Maintenance and Operational Surveillance Tests, dated

March 19, 1989.

Very few findings were identified, all of the findings in the sample

reviewed were of the compliance type.

The audits were generally

compliance based.

This review did not identify any specific

deficiencies in the program.

4. Maintenance (62702, 71710)

During this inspection a review of the licensee's maintenance program was

conducted.

25

This review focused primarily on maintenance activities on the Component

Cooling Water System. The systems approach to this review was used in

order to provide a more definitive basis for drawing conclusions concerning

the effectiveness of the program. The review included several broad areas.

A walkdown of the CCW system was conducted in order to determine the overall

material condition of the system. The results of this walkdown are included

in paragraph. e of this section.

Additionally, corrective maintenance,

preventive maintenance, predictive maintenance, system deficiency backlog,

and trending of component failures were included in the review.

The

paragraphs that follow provide the details of the areas reviewed and the

results and conclusions reached concerning the effectiveness of the program.

a.

Corrective Maintenance

In order to assess the effectiveness of the licensee's corrective

maintenance program a number of completed maintenance work request

packages were selected for a detailed technical review. The packages

were selected based on the importance of the components to plant

safety and also in an effort to provide a cross-sectional overview of

the various different types of maintenance activities.

The work

request had all been completed within the past two years.

For some

of the work only the work request was reviewed. For other work, the

entire work package was reviewed, which included, as appropriate, the

associated maintenance procedures,

the vendors technical manual,

calibration records and procedures, material purchase orders and

receipt inspection records,

weld data reports,

post maintenance

testing records,

etc.

A detailed list of the work request and

administrative procedures reviewed are provided in Appendix A. This

review .noted a number of technical problems:

-WR/JO

89-AACYL,

CCW system check valve CC-721C:

This work

request removed the valve bonnet, inspected the valve internals,

and replaced the bonnet. The WR did not specify a torque.value

for the body to bonnet fasteners,

however,

a Torque Wrench

Certificate of Calibration *Sheet attached to the WR indicated

that a torque wrench calibrated at 215 in-lbs had-been used to

perform the work.

The specific torque value for the body to

bonnet fasteners was not documented in the WR nor was torquing

independently inspected or verified.

The licensee concluded

that the fasteners had been -torqued to 215 in-lbs which is the

torque for a 3/8 inch fastener.

Investigation determined that

the valve has 7/16 inch fasteners for which the proper torque is

30 ft-lbs (360

in-lbs).

In

response to this finding, the

licensee issued WR/JO 89-AGYI1 to retorque the fasteners to the

proper value.

-WR/JO

88-AITFI,

CCW

system check valve CC-731:

This work

request removed the valve bonnet to support valve testing and

reinstalled the bonnet once the testing was completed.

The WR

referenced corrective maintenance procedure CM-120, which is the

incorrect procedure for work on this valve.

26

MC-120 provides instructions for repairing Anchor Darling type

C48Z swing check valves. The site equipment loading list states

that CC-731 is a Velan check valve.

Even though the wrong

procedure .was specified, the mechanics used the procedure in

performance of the work as evidenced by signoffs made in the

record copy attached to the completed WR. The procedure was not

followed, however, as evidenced by the following: Attachment 8.1

of CM-120 provides extremely high torque values for the body to

bonnet fasteners (1020 or 1650 ft-lbs, depending on fastener size).

A Torque Wrench Certificate of. Calibration attached' to the

completed WR calibrated the torque wrench used in this work to

150 ft-lbs. The specific torque applied to these fasteners was

not documented in the WR nor was there any independent inspection

or verification of the torque applied.

The licensee concluded,

that the actual torque applied was 150 ft-lbs. This torque value

is incorrect for the Velan valve installed in the plant. The

vendor manual for a Velan cast steel valve specifies a torque of

170 ft-lbs for the body to bonnet fasteners. The vendor manual

also prohibits the use of all solvents for cleaning of the fasteners

except acetone, alcohol or Freon PCA.

The WR did not include

this prohibition. As a result, the licensee issued WR 89-AHDHI

to correct the incorrect torque applied to the fasteners of

CC-731.

This also represents a case of failure to follow

procedure.

-WR/JO 89-ABYB1, CCW flange joint between the "B" RCP upper oil

cooler and valve CC-719B: This WR corrected a leak in the

subject flange by disassembly of the flange, installation of a

new gasket, and reassembly. The WR specified a torque value of

150 ft-lbs for the flange fasteners.

The torque applied was

documented on the WR, but there was no independent inspection or

verification of this action. The torque value applied to these

flange fasteners was obtained from a-generic torquing table in a,

Crane vendor manual which bases torque values on fastener size,

material type and desired stress in the fastener. The technical

source for the torque value appeared to be appropriate, however,

this same torque table had a note which stated that actual

torque values obtained without lubricating.the fasteners would

be as much as 50 percent lower than the values indicated in the

table. The WR did not specify any lubrication for the subject

fasteners.

-WR/JO 89-ACRC1, CCW blind flange between valve CC-795J and the

cooler to the' "B" High Head. Safety Injection Pump: This WR

disassembled the flange, installed a new flexatalic gasket, and

reassembled the flange to correct a flange leak.

The torque

value specified for the flange fasteners (45

ft-lbs) was

documented on the WR,

but this action was not independently

inspected or verified.

The technical' source for the torque

value specified by the WR was from a generic torque table in a

Crane vendor manual which bases torque values on fastener size,

27

material type and desired stress in the fastener.. A note to

this table requires lubrication to obtain desired values. The

WR did not provide instructions requiring lubrication .of the

fasteners.

Additionally,

vendor

instructions

for

the

installation of flexatalic gaskets emphasize the importance of

proper gasket compression during installation. The WR did not

provide any instructions for checking of gasket compression,

such as the use of a feeler gage.

-WR/JO

87-AKWN1,

CCW

system relief valve CC-791L:

This WR

rebuilt CC-791L including complete disassembly, cleaning, stem

replacement

and reassembly of the valve.

The

WR

and the

associated maintenance procedure (CM-102) did not provide the

vendor manual required assembly torque values for the body to

bonnet fasteners included in section 7.5 of the vendor manual

(Crosby Nozzle Relief Valve Maintenance Manual) and as a result

the fasteners were not torqued to the required torque.

The WR

and

CM-102 did not require lubrication of the 0-rings and

fasteners as required by section 7.5 of the vendor manual.

Paragraphs 7.1.1,. 7.1.11 and 7.3.13 of CM-102 required data to

be recorded concerning the installed relief valve including the

"as found" and "as left" blowdown ring p.osition. This data was

not recorded as required by the procedure.during the.performance

of the work. This is a failure to follow procedure.

As a

result of these findings, the licensee issued WR 89-AHAKI to

rework the valve.

-WR/JO 89-ABIS1, motor operated valve CC-749B: This WR adjusted

the packing on the valve. The WR required the packing gland to

be tightened to a value of 6 ft-1bs. The WR further allowed the

packing torque to be increased in 0.5 ft-lbs increments and

required that planning be notified if the final torque exceeded

7 ft-lbs. The final torque applied in order to stop the packing

leak was 8.5 ft-lbs. The maintenance foreman, not the planner,

was notified of the overtorquing required.

Investigation into

the

final disposition of this deficiency determined

the

following: The packing vendor (Chesterton) provides the licensee

packing torque requirements based on the size of the valve, the

number of packing rings installed and the valves service (system

temperature and pressure).

The vendor allows the licensee to

torque the packing gland to a maximum of 115 percent of the

specified torque before the valve is required to be repacked.

In this case, the final torque (8.5 ft-lbs) exceeded 115 percent

of the specified torque of 6 ft-lbs (115

percent * 6= 6.9

ft-lbs) and additional corrective action was not initiated by

the licensee. As a result of this finding, the licensee issued

WR 89-AGXZ1 to repack the valve.

-WR/JO 89-AATS1,

"C" CCW Pump: This WR disassembled, inspected,

repaired and reassembled the -"C" CCW Pump.

28

The WR and associated maintenance procedure (CM-019)

did not

provide a torque value for the pump casing fasteners. Review of

the vendor manual noted that no torque value was specified by the

vendor for these fasteners, however,

good engineering practice

would dictate that torque values should be provided for all

system closure fasteners to assure proper system integrity.

-WR/JO 89-AATS1, "C" CCW Pump: This WR disassembled, inspected,

repai-red and reassembled the. "C" CCW Pump.

No records of post

maihtenance testing of this pump following the work on this WR

could be found by the licensee.

-WR/JO

88-ADEK1,

CCW manually operated containment isolation

valve CC-737A: This WR corrected a packing leak on this valve.

The WR reported a packing leak on CC-737A and the description of

the deficiency specifically stated "...Be careful, the valve is

very hard to operate-and tightening the packing may just make it

worse."

In spite of this description the packing was adjusted

to eliminate the leakage.

Post maintenance testing,

such as

cycling of the valve to prove proper operation,

was

not

conducted (see WR/JO 88-AESK1).

-WR/JO

88-AESK1,

CCW manually operated containment isolation

valve CC-737A: This WR was issued approximately one month after

WR/JO 88-ADEK1 and reported that CC-737A was extremely hard to

operate.

The corrective action for this WR included removal of

the grease fitting, clean out of old hardened

grease and

regrease of the grease

box and

stem.

No pos-t maintenance

testing was performed following this work.

Approximately one

month after the corrective action to WR/JO 88-AESK1,

WR/JO

88-AFJK1 reported the same "valve hard to operate" problem. The

corrective action for this WR included repacking of the valve.

The post maintenance testing following this WR was done by

performing OST-908 to verify proper valve functioning.

All of the above listed deficiencies were discussed with the licensee.

Discussion of the torquing deficiencies with the mechanical maintenance

supervisor, the supervisor of planning and one of the maintenance

engineers resulted in a conclusion that the types of deficiencies noted

are generic for much of the maintenance work on site which involves

torquing. This conclusion was based on the fact that these personnel

indicated that until about six months to a year ago the site did not

provide torque values to maintenance personnel for accomplishing work.

At about that time it

was noted by the licensee that maintenahce

practices in this area were deficient.

Since that time all torque

values provided have been taken from a generic torquing table out -of

a Crane vendor manual.

As- noted above this practice results in

incorrect torque values being applied to many of the components in the

plant. The lack of adequate procedures to control torquing of system

closure fasteners and the cases where personnel failed to follow

procedures were of specific concern.

29

These deficiencies are identified as Violation 89-11-02: Inadequate

Plant Programs For Controlling and Documenting the Torquing Process,

and Violation 89-11-04:

Failure to Follow Procedures While Performing

Maintenance.

b. Component .Cooling Water Heat Exchangers:

During the.inspection the licensee was asked to provide a list of all

completed corrective maintenance work request which had been completed

on the CCW system within the past two years.

Team review of this

listing noted two work requests (87-AJPT1

and 89-AFQE1)

which had

accomplished plugging of leaking tubes in the CCW heat exchangers.

Because this work would more likely be accomplished under the design

change program rather than as a maintenance task, an investigation

into this area to determine the basis for the number of tubes allowed

to be plugged was conducted.

The investigation determined the

following:

1) Each of the CCW heat exchangers has a total of 1976 tubes.

2) The licensee had plugged 36 tubes in the "B" CCW heat exchanger

and had plugged 190 tubes in the "A" heat exchanger.

3) The licensee had accomplished the tube plugging in accordance with

a maintenance procedure (CM-201) and did not consider that plugging of

the heat exchanger tubes was a design change.

4) The basis for the number of tubes that could be plugged was included

in an analysis which Westinghouse had provided the licensee.

The

licensee had interpreted the Westinghouse analysis as approval to plug

up to 300 tubes in-each heat exchanger.

5) Review of the Westinghouse analysis noted that there was some

technical basis for plugging up *to 100 tubes, based on calculations

supplied from the heat exchanger vendor which showed no significant

degradation

in heat exchanger performance with up to 100 tubes

plugged. However, the final conclusion that up to 300 tubes could be

plugged was not supported by any detailed technical analysis.

The

Westinghouse analysis final conclusion addressed the adequacy of 75

tubes plugged. The review did not address the original design basis

of the heat exchangers.

Further investigation into this area with the licensee determined

that the heat capacity and specifications of the installed heat

exchangers prior to plugging are the same as those described in Table

.9.2.2-1 of the UFSAR. When the licensee started plugging tubes in

the heat exchangers, thereby changing the flow and heat transfer of

an

item described in the UFSAR,

a 10 CFR 50.59 evaluation was

required. A 10 CFR 50.59 evaluation was not performed

by the

licensee. The failure of the licensee to conduct a 10 CFR 50.59

evaluation is a violation of NRC requirements and is identified as

Violation 89-11-03: CCW Heat Exchanger Plugging Performed Without the

Required 10 CFR 50.59 Review.

!10

30

The licensee is currently conducting an evaluation to determine the

operability of the CCW heat exchangers.

Until this item is completed and reviewed, this item will be identified

as unresolved item 89-11-05: CCW Heat Exchanger Adequacy in Performing

Its Intended Design Functions.

c. Maintenance backlog

During the inspection, the team attempted to assess the backlog of

maintenance items which are outstanding.

The

team reviewed the

backlog of work on the Component. Cooling Water system including the

outstanding deficiencies (WR/JOs, EWRs, Field Reports, Nonconformance

Reports and Significant Condition Reports) which existed at the time

of the inspection.

This information was reviewed to assess both the

total number of items outstanding,

and the severity of each item.

The review also assessed the prioritization of the items scheduled

for completion by the licensee.

This information, in conjunction

with the walkdown of the- system (see paragraph e of this section) was

used to complete the overall assessment of the backlog. The walkdown

of the system noted its material condition to be very good, especially

considering the age of the plant. The listing of outstanding deficiencies

on the system was very smal-l (a total of 13 items) and were of no

safety significance. Additionally, the licensee's prioritization was

appropriate. The overall conclusion reached in this area was that the

licensee properly controls the maintenance backlog.

This area is

assessed as a strength.

d.

Preventative and Predictive Maintenance

The preventative maintenance and predictive maintenance programs at

Robinson were also reviewed during this inspection.

The team

evaluated the types of PM or Predictive analysis techniques were in

place, what specific components in the CCW system were maintained or

analyzed by these techniques,

and the frequency of the

PM or

predictive maintenance. The procedures used and the date of the last

PM were also reviewed.

The investigation also verified that

preventative maintenance required in the vendor manuals for the

specific components inspected under item (a.)

were implemented in

site PM procedures.

The conclusion was that the licensee has

adequate programs in place. One weakness identified is that the site

does not have a motor.operated valve testing program currently in

place which attempts

to predict

MOV failures prior to their

occurrence. The licensee has developed a very comprehensive valve

program under a project called the Managed Valve Maintenance Program

(MVMP) which is designed to manage valve performance, not only based

on testing, but also on many other aspects of valve performance.

This program will require a significant amount of resources and a

considerable length of time for implementation.

In the interim the

lack of a motor operated valve testing program is considered a weakness.

31

e. System Walkdown:

Component Cooling Water

The team conducted a partial walkdown of the Component Cooling Water

System with the assistance of an auxiliary operator (approximately 80

percent of the accessible portions of the system were walked down).

The operating procedure OP-306,

Attachment 9.1,

Rev.

12,

Component

Cooling System Checklist, and the system flow diagram 5379-376, Rev.

23 were used to conduct this portion of the inspection.

The team

traced out various portions of the system checking for proper

labeling of components,

material condition of the system,

valves

positioned in the proper position,

and pipe caps installed where

required.

The team observed that the majority of components were properly

labeled with die stamped aluminum labels.

The overall material

condition of the system was very good, and housekeeping and material

condition in the various plant spaces was excellent especially

considering the age of the plant.

Several deficiencies were noted,

however, which were referred to the licensee for corrective action:

.1. Valve CC-851C, root valve to pressure indicator PI-641C, was

found out of position. The valve was open in lieu of closed as

required by the operating procedure and the system flow diagram.

The indicator was for local indication only.

The operator

immediately repositioned the valve in accordance with procedural

requirements.

2. The following valves were not labeled:

CC-862C

CC-794A

CC-795G

CC-869

CC-899

These Items will be tracked as part of Inspector Follow-up Item

89-11-10: Deficiencies Noted in Service Water and Component Cooling

Water Walkdown.

5. Management Meetings (30702)

The team attended regularly scheduled management meetings to evaluate

their effectiveness. Tuesday and Thursday of each week a Unit Managers

Staff Meeting is held. The participants discuss current major items of

interest affecting plant operations and future plans for resolving

problems. At the meeting attended, there was active participation from

all members. The meeting was well focused and not too long to lose its

effectiveness. The staff showed good knowledge of the issues and their

potential impact on plant operations. Responsibility for issue resolution

was clearly defined. The meeting was effective:

A Site Work Activity Coordinator Group Meeting was observed. The meeting

not only discussed the coming day's activities, but also reviewed the next

week's tentative schedule. The meeting was short and concise.

32

Necessary coordination was accomplished without excessive time being taken

in the meeting. Participants interviewed indicated that since' the daily

meetings had been held, coordination on plant activities had improved.

A Robinson Nuclear Project Board of Directors meeting was attended.

The

BOD was formed in October 1988 as a management focus group for long term

plant improvement.

The BOD consists of the manager of the Robinson

Nuclear Project and thirteen members,

mostly supervisors and managers.

The meeting was typified by open,

free exchange of ideas and opinions.

Teamwork and consensus were stressed. Six major goals have been published

and the plant personnel have been briefed on them.

The goals focus on

generation, cost of generation, SALP and INPO ratings, radiation exposure,

and the quality of the workforce and workplace. The group's effectiveness

in reaching their goals cannot yet be determined due to the groups recent

formation. The dates for achievement of the goals vary, but are as late

as December 1993.

4.

Exit Interview

The inspection scope and findings were summarized on July 28,

1989, with

those persons indicated i-n paragraph 1.

The inspector.s described the.

areas inspected and discussed in detail the inspection findings listed

below. The licensee did not identify as proprietary any of the material

provided to or

reviewed by the inspectors during this

inspection.

Dissenting comments were not received from the licensee.

Item number

Status

Description/Reference Paragraph

261/89-11-01

OPEN

VIOLATION - AFW System Inoperable

Due to Inadequate NPSH. (Paragraph 3.c)

261/89-11-02

OPEN

VIOLATION -

Inadequate Plant

Programs

For

Controlling

and

Documenting

the

Torquing

Process.

(Paragraph 4.a)

261/89-11-03

OPEN

VIOLATION - CCW Heat Exchanger

Plugging Performed Without the Required

10CFR50.59 Review. (Paragraph 4.b)

261/89-11-04

OPEN

VIOLATION Failure to Follow

Procedures While Performing

Maintenance. (Paragraph 4.a)

261/89-11-05

OPEN

URI -

CCW Heat Exchanger Adequacy

in Performing

Its

Intended Design

Functions.

(Paragraph 4.b)

261/89-11-06

OPEN

IFI - Independent Verification

Procedures

Should

be

Improved.

(Paragraph 2.b)

33

261/89-11-07

OPEN

IFI -

Freeze Protection Measures

for

RWST

and

Steam

Rupture

ESF

Detectors are

Inadequate.

(Paragraph

2.c)

261/89-11-08

OPEN

IFI - Annunciator Panel Procedure

Weaknesses. (Paragraph 2.f)

261/89-11-09

OPEN

IFI - Weakness in Loop

Calibration of Feedwater

RTD Used in

Calorimetric.

(Paragraph 2.g)

261/89-11-10

OPEN

IFI - Deficiencies Noted in

Service Water and

Component

Cooling

Water Walkdown.

(Paragraphs 2.h. &

4.e)

261/89-11-11.

OPEN

IFI - Lack of a Time Limit for

Incorporation or Evaluation of Commehts

Made in Plant Procedure Two Year

Review.. (Paragraph 2.j)

261/89-11-12

OPEN

IFI - Weakness in Operations

Corrective Action Program.

(Paragraph

  • 2.j)

261/89-11-13

OPEN

IFI - Timeliness of Operability

Review of Problems Discovered in the

DBD. (Paragraph 3.c)

261/89-11-14

OPEN

IFI - Review Implementation of

MOD-18, Revision 4 and MOD-13, Revision

5 in Temporary Modification

Program.

(Paragraph 3.h)

261/89-11-15

OPEN

IFI - Validation of Critical

Design Parameters in DBD.

(Paragraph

3.c)

Appendix A

The following are a list of Completed Work Request reviewed:

  • WR/JO 88-AEPD1

Calibration of FIC-678 alarm switch

  • WR/JO 87-AKWN1

Disassembly, inspection, repair, and reassembly of relief

valve CC-791L

  • WR/JO 89-AAWW1

Repack of valve CC-712A

  • WR/JO 88-AMZI1

EQ repairs to valve CC-716A

  • WR/JO 89-ABIS1

Adjustment of packing on-valve CC-749B

  • WR/JO 88-AITF1

Open and inspect check.valve CC-731

  • WR/JO 89-AACY1

Open and inspect check valve CC-721C

  • WR/JO 88-ABZK1

Replacement of solenoid valve CC-739

  • WR/JO 88-ABUXI

Replacement of the CCW piping to the "B" RHR pump heat

exchanger

  • WR/JO 89-AATS1

Replacement of the "C" CCW pump seals and bearings

  • WR/JO 88-ANMR1

Replacement of the "C" CCW pump seals and bearings

WR/JO 87-AJPT1

Repair of,"B" CCW heat exchanger tube leaks

WR/JO 89-ACRC1

Repair of leaking flange upstream of CC-795J

WR/JO 88-AEGE1

.

Replacement of fasteners in the "C" CCW pump and motor

base

WR/JO 88-ADEK1

Repair of packing leak on valve CC-737A

WR/JO 88-AESKI

Correction of a problem with valve CC-737A being hard to

operate

WR/JO 88-AFJK1

Correction of a problem with valve CC-737A being hard to

operate

WR/JO 89-AEFZ1

Valve CC-730 would not cycle during performance of OST-703

WR/JO 89-AEGQ1

Valve CC-730 would not close from the RTGB

WR/JO 88-ABHD1

.Valve CC-716B would not close from the RTGB

WR/JO 88-ADAP1

Valve TCV-144 has a packing leak

WR/JO 88-AJHC1

Valve TCV-144 failed it's stroke time test (OST-703)

WR/JO 89-AEGC1

Valve TCV-144 failed it's stroke time test (OST-703)

WR/JO 89-AFCM1

Valve TCV-144 has a packing leak

WR/JO 89-AFMJ1

Valve TCV-144 failed it's stroke time test (OST-703)

WR/JO 89-ABYB1

Flange leak between the RCP upper oil cooler and valve

CC-7198

The complete .packages for these jobs were reviewed including,

where

appropriate, the associated maintenance procedures,

the vendor technical

manual,

calibration records,. material purchase orders and receipt inspection

records, weld data reports, post maintenance testing records,etc.

The following are a list of the Administrative Procedures reviewed:

MMM-001, Rev. 7

Maintenance Administration Program

MMM-002, Rev. 4

. Maintenance Procedure Preparation

MMM-003, Rev. 19

Maintenance Work Request

MMM-005, Rev. 10

Preventative Maintenance Program

APPENDIX B

Service Water System Walkdown -

Discrepancies Identified

A.

Safety Injection Pump

1. Valve SW-516 not labeled

B. Diesel Generator Room

1. Flow indicator FI-6614A for diesel air dryers not labeled

C. Service Water Booster Pump

1. Check valve SW-561 not labeled

2. Temperature indicator TI-1662A not labeled

3. Drawing does not show installed throttle valve upstream of PSL-1602A

4. Drawing does not show installed vent line upstream of PI-1601A

D. Station and Instrument Air Compressor

1. Valve SW-578 not labeled

2. Valve SW-531 not labeled

3. Valve SW-579 not labeled

4.

PX points were capped off

E. Auxiliary Feedwater Pump and Component Cooling Heat Exchanger

1.

FSL-1633A, inlet to the oil cooler, not labeled

2. SW-115 not labeled

3. TX-1682A not labeled

4. TX-1688A not installed but shown on drawing

F. Steam Driven AFW Pump Oil Cooler

1.

Valve SW-251A not labeled

2. Valve SW-252 not labeled

3.

Valve SW-272 not labeled

4.

Valve SW-259 not labeled

5. PI-6623 contained a blue tag that stated it had been overranged

G.

Feedwater Pump

1. SW-182 not labeled

2. SW-313 not installed but shown on drawing

H.

Turbine Oil Cooler

1. SW-465 not labeled

I. Condensate Pump

2

1. SW-167 not labeled

2. SW-166 not labeled

3. SW-469 not labeled

4. SW-468 not labeled

J.

Seal Water Booster Pumps

1. SW-170 not labeled

2. * A rubber hose was connected downstream of SW-219 which goes over to

the lube oil separator. There was no TM or Caution Tag associated

with this modification.

K. Primary Air Compressor

1. TI-1620 not labeled

APPENDIX C

LIST OF ABBREVIATIONS

AC

Alternating Current

AEOD

Analysis and Evaluation of Operational Ddata

AFW

Auxiliary Feedwater

AP

Administrative Procedure

APP

Annunciator Panel Procedure

ANSI

American Nuclear Standards Institute

BOD

Board of Directors

CA

Auxiliary Feedwater System

CCW

Component Cooling Water

CFR

Code of Federal Regulations

CP&L

Carolina Power and Light

CST

Condensate Storage Tank

CV

Containment Volume

DBD

Design Basis Document

D/G

Diesel Generator

-DPR

Demonstration Power Reactor

DRS

Division of Reactor Safety

EH

Electro Hydraulic

ECCS

Emergency Core Cooling System

EOP

Emergency Operating Procedure

EQ

Environmental Qualification

ESF

Engineering Safety Features

EWR

Engineering Work Request

F

Degrees Fahrenheit

FCV

Flow control valve

Ft-lbs

Foot pounds

GL

Generic Letter

HBR

H. B. Robinson

HVAC

Heating Ventilation and Cooling

I&C

Instrument and Controls

IFI

Inspector Follow-up Item

IEN

Inspection and Enforcement Notice

IN

Information Notice

i.n-lbs

Inch pounds

INPO

Institute for Nuclear Power Operations

JO

Job Order

Lb

Pounds

LCO

Limiting-Condition for Operation

LER

Licensee Event Report

LOCA

Loss of Coolant Accident

MOD

Motor Operated Disconnects

MSIV

Main Steam Isolation Valve

MST

Monthly Surveillance Test

MOV

Motor Operated Valve

NPSH

Net Positive Suction Head

NRC

Nuclear Regulatory Commission

2

NRR

Nuclear Reactor.Regulation

NSR

Nuclear Safety Review

NSSS

Nuclear Steam Supply System

NUREG

Nuclear Regulation

NV

Chemical Volume and Control System

OA

Operator Aid.

0AL

Operator Aid log

ONS

Onsite Nuclear Safety

OP

Operating Procedure

OPDT

Over Pressure Delta Temperature

OST

Operations Surveillance Test

OSTI

Operational Safety Team Inspection

PI

Pressure Indicator

PM

Preventative Maintenance

POM

Plant Operating Manual

PPS

Penetration Pressurization System

PSIG

Pounds per Square Inch Gage

PWR

Pressurized Water Reactor

QA

Quality Assurance

QC

Quality Control

RCP

.

Reactor Coolant Pump

RCS

Reactor Coolant System

REV

.

Revision

RHR

Residual Heat Removal

RPS

Reactor Protection System

RTD

Resistant Temperature Detector

RTGB

Reactor Turbine Generator Board

RWST

Refueling Water Storage Tank

SALP

Systematic Assessment of Licensee Performance

SAR

Safety Analysis Report

SF

Shift.Foreman

SI

Safety Injection

SIS

Safety Injection System

SG

Steam Generator

SSFI

Safety System Functional Inspection

SW

Service Water

TM

Temporary Modification

TS

Technical Specifications

UFSAR

Updated Final Safety Analysi.s Report

WR

Work Request

WR/JO

Work Request/Job Order

Appendix D

APP~s Reviewed:

APP-001-0O8

APP-007-09

APP-007-40

APP-008-14

APP-008-15

APPT007-30

APP-005-19

  • *APP-006-06

APP-006-01

APP-006-02

APP-006-09

APP-006-10

APP-006-17

APP-006-18

APP-OO.6-25

ARP-006-26

APP-006-33

APP-006-34

APP-006-41

APP-006-42

APP-00 1-17

.

APP-001-03

APP-CO01-22

APP-002-04

APP-003-27

Appendix E

Examples of APP Weaknesses:

APP-001-08: Requires check of position for valves CC-716A, CC-716B, CC-730 but

not position is given;

CCW flow and CCW Surge Tank level are also required to

be checked but no values are given.

This APP also states to start Standby

Cooling Water Pump but no switch number is given. Without proper guidance, the

operator has no reference to assess system performance.

APP-007-09:

States Standby pump automatically starts but does not require

verification of pump start and does not give switch number.

APP-008-14,15:

APP-008-14 requires check of all turbine valves closed but

APP-008-15 does not.

Since both APPs address a turbine trip, the required.

operator actions should be identical.

APP-005-19: The automatic action given in this APP is not an automatic action

but is a caution that a protective feature is disabled. This APP deviates from

the basic structure of the APPs since automatic actions are expected to occur

versus being disabled.

APP-006-25: This APP has several deficiencies. Automatic actions are given as

'None Applicable.' However, there are several automatic actions thatoccur at

LO-LO level. A reactor trip will occur as will an AFW automatic start. These

are listed as plant effects but are directly related to the LO-LO level.

Since

these are safety-related actions,

the APP

should list these actions as

automatic actions to ensure the operator will make appropriate verifications.

This APP lists several parameters to verify such as SG level, steam flow, and

feedwater flow.

No expected values are given for these parameters

so the

operator is unaware of system performance.

Setpoints are given as percent of

span while control room instrumentation indicates percent of level.

Setpoints

should referenced to the instrument the operator-will use. These deficiencies.

were noted in other APPs that have safety-related functions or actions.

APP-007-38:

This APP references pump trip and alarm setpoints to elevation

while control room instrumentation indicates in percent level.

APP-002-04:

The APP states accumulator pressure should be observed but does

not give a value for accumulator pressure. If accumulator pressure could cause

  • an accumulator low level condition, a value should be referenced for the

operator to assess system performance.